caa a22 4500 465762778 CHVBK 20180323111904.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF00303279 doi (NATIONALLICENCE)springer-10.1007/BF00303279 Factors affecting anal continence after restorative proctocolectomy [Elektronische Daten] [M. Pescatori, C. Mattana] The aim of this multicentre study was to define the incidence of disordered continence after restorative proctocolectomy and ileoanal reservoir with respect to some factors which may influence the postoperative soiling rate. Two hundred and seven patients underwent the operation, 156 had their ileostomy closed and were all available for a functional assessment. Minor leakage was observed in 26.9% of cases, whereas 1.9% complained of troublesome faecal soiling. None had gross faecal incontinence. Patients over 45 years had significantly more soiling than those younger (45% vs 24%, p<0.05). Soiling was more prevalent in those with ulcerative colitis than with other diseases (35% vs 18% p<0.05). The soiling rate decreased after the first postoperative year from 34% to 21% (p<0.05). A bowel frequency higher than 5 evacuations/24 hours increased soiling from 20% to 48% (p<0.01). Pouchitis doubled the soiling rate from 26% to 50% (p<0.05) without there being any difference in sphincter function. Soiling was not significantly related to staged procedure, J-pouch, perineal complications or a long rectal cuff. Careful preoperative evaluation of the anal sphincter should be performed in older patients operated on for colitis as they are likely to leak during the first year following restorative proctocolectomy, especially in cases with diarrhoea or pouchitis. Springer-Verlag, 1990 Pescatori M. Institute of Clinical Surgery, Universita Cattolica, Roma, Italy aut Mattana C. Institute of Clinical Surgery, Universita Cattolica, Roma, Italy aut International Journal of Colorectal Disease Springer-Verlag 5/4(1990-12-01), 213-218 0179-1958 5:4<213 1990 5 384 https://doi.org/10.1007/BF00303279 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00303279 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Pescatori M. Institute of Clinical Surgery, Universita Cattolica, Roma, Italy aut NATIONALLICENCE 700 1- Mattana C. Institute of Clinical Surgery, Universita Cattolica, Roma, Italy aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/4(1990-12-01), 213-218 0179-1958 5:4<213 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer